| NPI | 1881873750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 003860) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335361) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2019-07-08 |